From Biometrics Research, New York State Department of Mental Hygiene, New York (Drs. Gurland, Fleiss, and Goldberg) and Temple Health Science Center, Temple University, Philadelphia (Drs. Yorkston, Sloane, and Cristol). Dr. Yorkston is currently at the University of Minnesota.

Six factors emerged from a factor analysis of the Structured and Scaled Interview to Assess Maladjustment (SSIAM) ratings made on 164 adults judged acceptable for outpatient psychotherapy. These factors were social isolation, work inadequacy, friction with family, dependence on family, sexual dissatisfaction, and friction outside family. Their intraclass correlation coefficients of reliability ranged from 0.78 to 0.97. Other aspects of interrater agreement were examined, and agreement was found to be adequate. There was significant agreement (P <.01) between independent pairs of ratings from patients and informants for all the factors except sexual dissatisfaction.